Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | ME145542 | FL |
NPI | 1013370584 |
---|---|
Provider Name | Silvana Rolong |
First Address | Palmetto Bay, FL 33157-4886 |
Second Address | Winter Haven, FL 33880-4215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2016 |
Last Update Date | 28/09/2020 |